• 제목/요약/키워드: duration of disease

검색결과 1,486건 처리시간 0.028초

미만성 침윤성 폐질환에 대한 비디오 흉강경 폐생검과 개흉 폐생검의 비교 (A Comparison of Thoracoscopic and Open Lung Biopsy for the Diffuse Infiltrative Lung Disease)

  • 이재익;김영태;성숙환;김주현
    • Journal of Chest Surgery
    • /
    • 제32권2호
    • /
    • pp.164-170
    • /
    • 1999
  • 배경: 미만성 침윤성 폐질환의 확진을 위해 많은 환자들에게 폐생검이 시행되고 있다. 개흉 폐생검에서의 작은 절개로 얻을 수 있는 제한된 시야와는 달리, 흉강경을 통한 폐생검은거의 전 폐실질을 관찰한 후 생검할 수 있는 장점과 전통적인 개흉으로 생길 수 있는 유병률을 감소시킬 수 있다는 장점을 가지고 있다. 본 연구에서는 미만성 침윤성 폐질환의 진단에 있어, 흉강경 폐생검(TLB)과 개흉 폐생검(OLB)을 효율성과 안전성의 측면에서 비교하였다. 대상 및 방법: 1993년 3월부터 1997년 8월까지 81명의 환자에게 폐생검을 시행하였으며, 이 중 51명에게 기존의 개흉 폐생검을, 30명에게는 비디오 흉강경 폐생검을 시행하였다. 결과:수술 시간은 TLB에서 63분, OLB에서 79분이었고(p=0.04), 생검 조직 절편의 크기(TLB 7.8 cm3, OLB 6.9 cm3 : p=0.72)와 진단률(TLB 100%, OLB 96%)은 두 군간의 차이가 없었다. 술후 재원 일수는 TLB에서 OLB보다 유의하게 짧았고(TLB 13일, OLB 22일 : p=0.01), 흉관 거치일, 진통제 투여 횟수는 차이가 없었으나 진통제 투여 기간은 TLB에서 유의하게 짧았다(TLB 2.5일, OLB 5.2일, p=0.05). 합병증은 TLB에서 2례(6.67%), OLB에서 4례(7.84%)가 있었으며, 두 군 모두에서 수술로 인한 사망례는 없었다. 결론: 흉강경 폐생검이 미만성 침윤성 폐질환의 진단에 있어서, 기존의 개흉 폐생검의 훌륭한 대안이 될 수 있다고 생각한다.

  • PDF

Factors related to the treatment duration of infants with congenital muscular torticollis

  • Song, Seonghyeok;Hwang, Wonjeong;Lee, Seungwon
    • Physical Therapy Rehabilitation Science
    • /
    • 제9권3호
    • /
    • pp.191-196
    • /
    • 2020
  • Objective: Congenital muscular torticollis (CMT) is a disease with abnormal head and neck posture in infants. It affects the child's movement and development and can lead to complications. Therefore, this study aims to find out what factors influence the rehabilitation treatment duration of infants with CMT. Design: Cross-sectional study. Methods: The subjects were 63 infants under 90 days of age who were diagnosed with CMT. Age, thickness of the sternocleidomastoid muscle (SCM) on the affected and non-affected side, head tilt angle, and head rotation angle of the affected head in infants were collected. The ratio of muscle thickness was calculated from the thickness of the affected SCM and the thickness of the non-affected SCM (A/N ratio). All subjects underwent conservative physical therapy twice a week for 30 minutes, and the end of the treatment was when the angle of head tilt was normal or less than 5 degrees, and the treatment duration was calculated. Results: Age, thickness of affected SCM, and head tilt were significantly correlated with treatment duration (p<0.05). The thickness of the non-affected SCM, A/N ratio, and head rotation angle did not show any correlation with treatment duration. The factors affecting the treatment duration were head tilt and age, showing 21% explanatory power of adjusted R2. Conclusions: The main factors affecting the treatment duration of infants with CMT are head tilt and age. Therefore, more attention should be directed to the infant's head tilt and age for effective physical therapy of infants with CMT.

n-3 지방산과 건강

  • 이수환
    • 한국식품위생안전성학회:학술대회논문집
    • /
    • 한국식품위생안전성학회 1992년도 학술강연회
    • /
    • pp.1-5
    • /
    • 1992
  • There is increasing awareness of the devastating socio-economic cost of cardiovascular disease. As a result there have been a lot of extensive researches both on basic mechanisms involved and on the areas of epidemiology and clinical trials. Now, it is being generally accepted that dietary n-3 fatty acids abundant in marine products, may reduce the incidence of cardiovascular disease. Fish oil, with its complement of n-3 fatty acids, has been shown to have diverse and sometimes potent actions on cells of the blood and vasculature, which may explain some of its positive effects on vascular disease. However, the appropriate intake of n-3 fatty acids has not been established. This may vary with desired effects, the duration of ingestion, the type of seafood or fish oil and amount of other fatty acids, especially nf fatty acid being consumed in the diet, Although the beneficial effects have been extensively studied, little is known about potential adverse effects with excessive intake of n-3 fatty acids. Thus, it is needed to study on the possible unfavorable effects including genetic effects.

  • PDF

n-3 지방산과 건강 (n-3 Fatty Acids (EPA, DHA) and Health)

  • 이수환
    • 한국식품위생안전성학회지
    • /
    • 제7권2호
    • /
    • pp.101-105
    • /
    • 1992
  • There is increasing awareness of the devastating socio-economic cost of cardiovascular disease. As a result there have been a lot of extensive researches both on basic mechanisms involved and on the areas of epidemiology and clinical trials. Now it is being generally accepted that dietary n-3 fatty acids abundant in marine products, may reduce the incidence of cadiovascular disease. Fish oil . with its complement of n-3 fatty acids, has been shown the have diverse and sometimes potent actions on cells of the blood and vasculature, which may explain some of its positive effects on vascular disease. However, the appropriate intake of n-3 fatty acids has not been established. This may vary with desired effects, the duration of ingestion, the type of seafood or fish oil and amount of other fatty acids, especially n-6 fatty acid being consumed in the diet. Although the beneficial effects have been extensively studied, little is known about potential adverse effects with excessive intake of n-3 fatty acids. Thus, it is needed to study on the possible unfavorable effects including genetic effects.

  • PDF

만성 기침의 감별진단 (Differential Diagnosis of Chronic Coughing)

  • 도남용;박준희
    • 대한후두음성언어의학회지
    • /
    • 제27권2호
    • /
    • pp.87-90
    • /
    • 2016
  • Cough, the most common symptom, encountered in the outpatient clinic can be caused by various underlying diseases. It defines as chronic cough that the duration of cough is more than 8 weeks with a normal chest X-ray findings. The cause of cough can be found out for more than 90% through the appropriate diagnostic approach and Upper airway cough syndrome, Asthma and Gastroesophageal reflex disease are the most common causes of disease to non-smokers. Chronic cough can be due to not one reason but various reasons and achieve good results by a systematic approach to diagnosis and a concrete treatment on the basis of the sufficient understanding of the underlying disease.

  • PDF

청소년의 규칙적 아침식사를 위한 수면 관련 요인 분석 (Association between Regular Breakfast and Sleep-related Factors in Korean Adolescents)

  • 조윤정;황준현
    • 한국학교보건학회지
    • /
    • 제30권3호
    • /
    • pp.317-324
    • /
    • 2017
  • Purpose: Breakfast is the most important meal to provide energy for the day. Breakfast is especially important to give enough nutritional support to children and adolescents for their physical growth and sexual development. Sleep-related factors like average sleep duration and wake up time would mostly be associated with regular breakfast. This study aimed to investigate the effect of sleep on regular breakfast consumption in Korean adolescents. Methods: The study used the data from the 12th Korea Youth Risk Behavior Web-based Survey (KYRBS-XII) conducted in 2016 by the Korea Centers for Disease Control and Prevention. The data of 62,820 subjects (middle/high school students) were included in the final analysis. The study examined the factors related to regular breakfast, focusing on weekday average sleep duration and wake up time of middle school students and high school students, respectively. Results: Regular breakfast consumption was shown to have a statistically significant association with high economic status, nutritional education, weekday average sleep duration, wake up time, and subjective sleep satisfaction in the multivariate logistic regression. Regardless of the school level, regular breakfast consumption was significantly associated with early wake up time. As to the effect of weekday average sleep duration on regular breakfast consumption, it showed some different results depending on the school level. Conclusion: Regular breakfast consumption of Korean adolescents was related to weekday average sleep duration and wake up time. Having breakfast regularly was affected by both adequate weekday average sleep duration and early wake up time.

사상체질 병증별 월경 양상의 임상 연구 (Clinical Study of Menstruation Pattern according to Sasang Constitutional Diseases)

  • 임성락;김구;오승윤;권영미;주종천
    • 사상체질의학회지
    • /
    • 제21권1호
    • /
    • pp.217-226
    • /
    • 2009
  • 1. Objective To investigate characteristics of menstrual patterns according to Sasang Constitutional disease, and to utilize for diagnosis and treatment of Sasang Constitutional disease. 2. Method The recruited subjects were 430 women who convinced their Sasang Constitution by taking herbal medicine and improving of chief complaint. The items of data contain age at menarche, age at menopause, menstrual cycle, menstrual duration, cyclic regularity of menstruation, severity of menstrual pain, the worst day of menstrual pain, type of menstrual pain, amount of menstruation. 3. Results 1) Severity of menstrual pain, the worst day of menstrual pain, menstrual pain accompanied with nausea were significant among Sasang Constitutional diseases. 2) In Bae-chu-pyo-byeong disease (背椎表病證), Wi-wan-han disease (胃院寒證), So-eum disease (少陰證) and Tae-eum disease (太陰證), menstrual pain was severer than other diseases. 3) In Hae-yeok disease and So-yang-sang-pung disease (少陽傷風證), the worst day of menstrual pain was a day before menstruation. In Hyung-gyeok-yeol disease (胸膈熱證), Tae-eum disease (太陰證), So-eum disease (少陰證), the frequency of a day after menstruation in the worst day of menstrual pain was higher than other diseases. In Wi-wan-han disease (胃院寒證), Mang-yang disease (亡陽證), the frequency of two day after menstruation in the worst day of menstrual pain was higher than other diseases. 4) In So-yang-sang-pung disease (少陽傷風證), Mang-eum disease (亡陰證), Eum-heo-o-yeol diasese (陰虛午熱證), Ul-gwang disease (鬱狂證), Tae-eum disease (太陰證), So-eum disease (少陰證), the frequency of menstrual pain accompanied with nausea were higher than other diseases. 4. Conclusion Menstrual patterns, especially menstrual pain is different among Sasang Constitutional diseases. Assessing menstrual pain can be used for diagnosing Sasang Constitutional diseases, deciding treatment course, determinating prognosis.

  • PDF

자침 횟수의 차이에 따른 안구건조증 치료 효과 비교 (Comparative Study of the Effect of Acupuncture for Dry Eye Syndrome According to Difference of Duration of Treatment)

  • 이승민;이창우;전주현;김정호;김정일;최선미;김영일
    • Journal of Acupuncture Research
    • /
    • 제29권4호
    • /
    • pp.55-69
    • /
    • 2012
  • Objectives : The aim of this study was to compare the effects of 12 acupuncture treatments versus 24 acupuncture treatments for patients with dry eye syndrome. Methods : We have assessed the symptom score, number of dry eye symptoms, and ocular surface disease index(OSDI) scores before and after the acupuncture treatments. The group A received 12 acupuncture treatments, and the group B received 24 acupuncture treatments. To evaluate the efficacy of acupuncture treatments the before and after scores of both groups were compared. Results : After treatment, symptom score, number of dry eye symptoms, and ocular surface disease index(OSDI) were significantly decreased in each group (p<0.001). The symptom score has shown a greater decrease in group B than group A, but no significant differences were seen in the numbers of existing symptoms and ocular surface disease index(OSDI) scores between the two groups. Conclusions : Acupuncture is an effective way to relieve the symptoms of dry eye syndrome. The more number of acupuncture treatments may be correlated with better outcomes in the means of symptom score.

Mycoplasma pneumoniae infection in patients with Kawasaki disease

  • Lee, Mi-Na;Cha, Jie-Hae;Ahn, Hye-Mi;Yoo, Jeong-Hyun;Kim, Hae-Soon;Sohn, Se-Jung;Hong, Young-Mi
    • Clinical and Experimental Pediatrics
    • /
    • 제54권3호
    • /
    • pp.123-127
    • /
    • 2011
  • Purpose: Kawasaki disease (KD) is the main cause of acquired heart disease in children. In addition to cardiovascular involvement, many complications have been recognized in KD. However, respiratory complications have been rarely reported. We investigated the differences in clinical characteristics, laboratory findings, radiography findings, and echocardiography findings of Mycoplasma pneumoniae infection and other types of pneumonia in KD patients. Methods: Among 358 patients with KD, 54 developed concurrent pneumonia. Among the 54 patients, 12 (22.2%) with high titers of anti-M. pneumoniae antibody (AMA) (>1:640) were grouped in the M. pneumoniae group and 42 were included in the control group. Serum AMA was measured in each patient. Clinical laboratory findings and total duration of fever were analyzed. Results: The duration of fever, serum hemoglobin, white blood cell count, platelet count, erythrocyte sedimentation rate, C-reactive protein level, albumin level, and the incidence of coronary arterial lesions showed no statistical difference in the 2 groups. Neutrophil count was significantly higher in the M. pneumoniae group than in the control group. Among various radiography findings observed in pneumonia, consolidation and pleural effusion were more frequent in the M. pneumoniae group than in the control group. On the other hand, parahilar peribronchial opacification, diffuse interstitial lesion, and normal findings prevailed in the control group. Conclusion: KD patients can have concurrent infections, especially pulmonary symptoms. The cause of KD is likely to be associated with M. pneumoniae infection. Thus, immediate treatment of M. pneumoniae infection in KD patients is very important.

Risk factors of medication-related osteonecrosis of the jaw: a retrospective study in a Turkish subpopulation

  • Sahin, Onur;Odabasi, Onur;Aliyev, Toghrul;Tatar, Birkan
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
    • /
    • 제45권2호
    • /
    • pp.108-115
    • /
    • 2019
  • Objectives: Medication-related osteonecrosis of the jaw (MRONJ) is a well-known side effect of certain drugs that are used to influence bone metabolism to treat osteometabolic disease or cancers. The purpose of our study was to investigate how high-concentration and low-concentration bisphosphonate (BP) intake affects the disease severity. Materials and Methods: Data collected from the medical records of 52 patients treated with BPs, antiresorptive, antiangiogenic drugs and diagnosed with MRONJ were included in this study. Age, sex, type of systemic disease, type of drug, duration of drug treatment, jaw area with MRONJ, drug administration protocol, and MRONJ clinical and radiological findings were obtained. Patients were divided into two groups: anti-neoplastic (Group I, n=23) and anti-osteoporotic (Group II, n=29). Statistical evaluations were performed using the IBM SPSS ver. 21.0 program. Results: In both groups, more females had MRONJ. MRONJ was found in the mandibles of 30 patients (Group I, n=14; Group II, n=16). When we classified patients according to the American Association of Oral and Maxillofacial Surgeons staging system, significant differences were seen between groups (${\chi}^2=12.23$, P<0.01). More patients with advanced stage (stage 2-3) MRONJ were found in Group I (60.9%). Conclusion: According to our results, high-concentration BP intake, age and duration of drug intake increased disease severity.